340B Drug Pricing Program Database
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WALGREEN CO.
RWI20005 MetroHealth
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Covered Entity Details
Entity Name
MetroHealth
Subdivision Name
Type
Ryan White Part A
340B ID
RWI20005
Entity Address
1012 14th Street, NW
Suite 700
Washington, DC 20005
Grant Number
H89HA00012
Participating Start Date
10/1/2019
Last Recertification Date
2/23/2022
Entity Termination Date
4/1/2023
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #19080
5600 GEORGIA AVE NW
WASHINGTON, DC 20011-2927
Pharmacy Comments
Contract Details
Approval Date
9/12/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Miguel McInnis, CEO
(202) 838-9271
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
9/12/2019
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